There are only two three-piece inflatable penile prostheses (IPP) available to patients in the American market: the AMS (American Medical Systems) 700 TM series (Boston Scientific, Massachusetts) and the Coloplast Titan® series (Coloplast, Minnesota), and data comparing the two are scant. The aim of our study was to summarize the current scientific evidence comparing the two. A systematic literature review was conducted on PubMed. A 10-year filter was placed to include only studies published after Coloplast launched the Titan Touch® release pump. Eligibility criteria included articles discussing specifically the AMS 700 TM and Coloplast Titan® models. Further searches for studies on patient/partner satisfaction were conducted. Abstracts were reviewed to include studies focusing specifically on the models we are studying and studies on patient satisfaction using the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire. The Coloplast device demonstrated slightly greater resistance to the stimulated forces of penetration and gravity. Coloplast implants coated with vancomycin/gentamicin had the highest infection rate followed by the AMS penile prosthesis and the rifampin/gentamicin coating had the lowest infection rate. Prosthesis durability and survival were similar between both brands. Overall satisfaction was high but comparisons are inconsistent. The literature is inconclusive about which device is superior. We suggest randomized, multicenter, prospective studies to help further elucidate the highlights of each product.

A partir de 1972 se llevó a cabo un programa comunitario integral para el control de las enfermedadescardiovasculares (ECV) en el norte de Karelia, Finlandia. El objetivo central delprograma era reducir la prevalencia de fumadores, la concentración de colesterol y los valoresde presión arterial en la población de la provincia. El Proyecto Karelia del Norte ilustra losobjetivos fundamentales de promoción de la salud, comunicación para la salud y la difusiónde las innovaciones con los líderes de opinión. Las actividades específicas del proyecto sirvencomo ejemplos de cómo los conceptos de las ciencias sociales y del comportamiento se puedenaplicar para conseguir en las comunidades una disminución de los factores del riesgode las enfermedades crónicas no transmisibles, con el objetivo de reducir la carga de dichasenfermedades. El enfoque basado en la reorganización de la comunidad y las estrategias decomunicación para la salud representan una innovación en el control de las enfermedadescrónicas. La reorganización de la comunidad implica la participación de diversos sectores dela sociedad, incluyendo a los medios de comunicación. Las experiencias de Karelia del Nortedestacan el importante papel desempeñado por los líderes de opinión, los medios de comunicaciónlocales y las estrategias de comunicación para la salud. La buena comprensión dela comunidad y una estrecha colaboración con una serie de organizaciones ha sido un elementoesencial del éxito. Este artículo explica las estrategias utilizadas en las campañas enlo que se refiere (1) a la información para educar a la gente sobre su salud y (2) a la persuasiónpara motivar a la gente a adoptar medidas saludables.

The objective of this study using secondary data from the national health surveillance system was to describe the characteristics of the cases exposed to rabies in the Colombian population during 2007-2011. The cases exposed to rabies were categorized into no-risk exposure, lowrisk exposure and high-risk exposure. An increase in cases exposed to rabies was observed during 2007 (8.7%) and 2011 (31.5%). In Casanare, 31.4% of the cases exposed to rabies were classified as no-risk exposure, whereas in Arauca 86.7% of the cases corresponded to low-risk exposure cases. Vaupes reported 88.5% high-risk exposure cases. Rabies exposure was most prevalent in men (56.3 %) and the population belonging to the subsidized health insurance scheme (42.2%). The most common way of transmission was animal bites (88%). The observed increase in the number of cases exposed to rabies indicates a need to develop interventions targeting people in high risk exposure regions.

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